Individual provider Active NPI

Alejandro Caribas Mendible, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Gables, FL
National Provider Identifier
1013204122
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19301 Issued in FL
Practice address
2030 S Douglas Rd
Suite 506.
Coral Gables, FL 33134-4615
Phone
(904) 401-2566
NPI assigned
Jul 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19301 FL Primary

Addresses

Primary practice location

2030 S Douglas Rd
Suite 506.
Coral Gables, FL 33134-4615

Mailing address

3425 Diamond Falls Cir
Suite 506.
Land O Lakes, FL 34638-6205
Phone (786) 302-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205002262 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3072817352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19301FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ac O&M Services LLC Current Accepting new patients
One Oral Surgery Oral and Maxillofacial Surgery Current Accepting new patients

Networks

  • FL HMO C-SNP
  • FL HMO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1013204122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 DIAMOND FALLS CIR",
            "address_2": "SUITE 506.",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386205",
            "telephone_number": "786-302-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD",
            "address_2": "SUITE 506.",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344615",
            "telephone_number": "904-401-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIBAS MENDIBLE",
        "first_name": "ALEJANDRO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "19301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.